In this study the aim was, through interviews, to disclose 13 nurses'personal knowledge about the patients, themselves, and care provision, using a phenomenological-nermeneutic analysing method.
Caring for people with severe dementia meant an intertwined life world emanating from making and doing together and the delicate interpretative work that the care provision required.
The intertwined life world consisted of the interaction between the nurses'and the patients'separate lives, their common life and the environment, culminating in mutual dependency.
Making together signifies the relationship being based on the nurses'knowledge and skills as nurses i.e. the task they had to perform.
Doing together signifies the relationship being based on the oneness of the nurses and the patients with severe dementia as ordinary human beings.
The delicate interpretation process required, to adapt care to the individual patient, was based on knowledge about the patient's personality, life history and disease progression in combination with the nurses'interpretation of the current situation.
The nurses searched for meaning and that, in turn, meant that the patient's inner world was determined by the nurses and thus the patient was seen as being in their hands. (...)
Mots-clés Pascal : Démence Alzheimer, Infirmier, Expérience professionnelle, Pratique professionnelle, Connaissance, Relation soignant soigné, Soin, Qualité, Homme, Suède, Europe, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Personnel sanitaire
Mots-clés Pascal anglais : Alzheimer disease, Nurse, Professional experience, Professional practice, Knowledge, Health staff patient relation, Care, Quality, Human, Sweden, Europe, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0013174
Code Inist : 002B18I12. Création : 31/05/1999.